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HomeMy WebLinkAbout113618 AQUA ENGINEERING INC - INSURANCE CERTIFICATE (4)Client#: 1083780 AGUAENG ACORU, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/VYYY) 4/27/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. It SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT _ USI Colorado, LLC Prof Liab NAME:PHONE P.O. Box 7050 a�aL En:800 873-8500 Englewood, CO 80155 ADDRESS: 800 873-8500 INSURER(S) AFFORDING COVERAGE NAIC If INSURER A: Travelers Indemnity Ins. Co. 141750 INSURED Aqua Engineering, Inc. 375 East Horsetooth Road, Bldg. 2-202 Fort Collins, CO 80525-3196 INSURER B : Hartford Ins Co of Midwest 119038 INSURERC: Hartford Underwriter Ins. Co. 19682 INSURER D ; XL Specialty Insurance Company 37885 INSURER E : F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIAR TYPE OF INSURANCE IANSRSWVD UB POLICY NUMBER MM/IDDDY EFP EXP M�DNYYY LIMIT A GENERAL LIABILITY X X 680153SLO91 5/05/2015 05/05/2016 EACH $1 000 000 X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE F 7xOCCUR GOECTCURppR��ENCE PREMISES Ea oaur °nca $l 000 OOO MED EXP (Any one person) $10 000 PERSONAL &ADV INJURY $1,000,000 GENERAL AGGREGATE AGGREGATE LIMIT APPLIES PER: CCMP/OP AGG POLICY X PRO- LOC C AUTOMOBILE LIABILITY X X 34UEGIS1066 5/05/201505/05/201 INGLE LIMIT Ns2,000,OOOGEN'L Xid Y(Per person) MINJURY ANY AUTO ALL OWNED SCHEDULED AUTOS X NON -OWNED AUTOS Y (Per accidant)AUTOSAUTOSXHIRED AMAGE A X UMBRELLA LIAB X OCCUR X X XSFCUP6305Y4 5/05/2015 05/05/201 EACH OCCURRENCE s3000000 AGGREGATE $3 000s000 EXCESS LIAR CLAIMS -MADE DED I X' RETENTION$10000 $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? NIA X 34WEGKC2904 5/05/2015 05/05/201 X WCS LIM6 I 10TH- E.L EACH ACCIDENT $1 00O 000 E.L. DISEASE - EA EMPLOYEE $1 OOO 000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below DPS9723617 E.L. DISEASE - POLICY LIMIT $1 000 000 D _ _ Professional 05/05/201 $1,000,000 per claim Liability �D5/05/2011: $2,000,000 annl aggr. .Claims Made DESCRIPTION OF OPERATIONS LOCATIONS: VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner. (See Attached Descriptions) City of Ft. Collins Purchasing DivisionPO Box 580 Fort Collins, CO 80522-0580 I.ANY MLLH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S14962460/M 14961508 R R BZ P DESCRIPTIONS (Continued from Page 1) The General Liability, Automobile Liability, Umbrella/Excess insurance applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability. SAGITTA 25.3 (2010105) 2 of 2 #S14962460/M14961506